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This is the questionnaire that deals with health care and your involvement in health care. Please take a few minutes to express your opinions about the availability and quality of health care in your community. Your answers are important to the success of this study
 
 
 
which comunity {or area} do you live
 
urban
 
rural
 
semi urban
 
 
 
is there a wide difference of private health care between rural of urban area
 
yes
 
no
 
don't know
 
 
 
do you have a favourite hospital
 
yes
 
no
 
not sure
 
 
 
is there a difference of cost between private hospitals and public hospitals
 
yes
 
no
 
not sure
 
 
 
do you receive an amount of pressure from other family members to get health care from private sector
 
yes
 
no
 
sometimes
 
 
 
how many years have you lived in this comunity
 
10
 
20
 
not sure
 
 
 
How satisfied are you with the skill and competency of the staff?
 
 
Very satisfied
 
 
Somewhat satisfied
 
 
Neutral
 
 
 
Does the hospital have equipment for modern diagnosis and treatment?
 
Yes
 
No
 
Not sure
 
 
 
How satisfied are you with the following:
Overall cleanliness of the hospital
 
Very satisfied
 
 
Somewhat satisfied
 
 
Neutral
 
 
Somewhat dissatisfied
 
 
Very dissatisfied
 
 
Not sure
 
 
 
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None
 
 
Private
 
 
Employer sponsored
 
 
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